Individual provider · Type 1 NPI
Ellen Mady, DPM
Foot Surgery Podiatrist · West Bloomfield, MI
NPI number
1356331441
Active
Practice location
2300 Haggerty Rd, Suite 1175
West Bloomfield, MI 48323-2184
Fax (248) 926-9498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 5901001825 (MI) |
Foot Surgery Podiatrist: Definition to come...
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About NPI 1356331441
Ellen Mady, DPM's National Provider Identifier is 1356331441, issued on Oct 28, 2005. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 14, 2010.